Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein (UKSH), D-24105 Kiel, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Hamburg/Kiel/Lübeck, D-20251 Hamburg, Germany.
Int J Mol Sci. 2022 Jan 10;23(2):723. doi: 10.3390/ijms23020723.
Patients with the complex congenital heart disease (CHD) are usually associated with right ventricular outflow tract dysfunction and typically require multiple surgical interventions during their lives to relieve the right ventricular outflow tract abnormality. Transcatheter pulmonary valve replacement was used as a non-surgical, less invasive alternative treatment for right ventricular outflow tract dysfunction and has been rapidly developing over the past years. Despite the current favorable results of transcatheter pulmonary valve replacement, many patients eligible for pulmonary valve replacement are still not candidates for transcatheter pulmonary valve replacement. Therefore, one of the significant future challenges is to expand transcatheter pulmonary valve replacement to a broader patient population. This review describes the limitations and problems of existing techniques and focuses on decellularized tissue engineering for pulmonary valve stenting.
患有复杂先天性心脏病 (CHD) 的患者通常伴有右心室流出道功能障碍,并且在其一生中通常需要多次手术干预以缓解右心室流出道异常。经导管肺动脉瓣置换术作为一种非手术、微创的替代治疗右心室流出道功能障碍的方法,近年来得到了迅速发展。尽管经导管肺动脉瓣置换术目前取得了良好的效果,但仍有许多适合肺动脉瓣置换的患者不适合进行经导管肺动脉瓣置换术。因此,未来的一个重大挑战是将经导管肺动脉瓣置换术扩展到更广泛的患者群体。本综述描述了现有技术的局限性和问题,并重点介绍了脱细胞组织工程在肺动脉瓣支架中的应用。